International Community Health Services

The International Community Health Services (ICHS) site is in the heart of downtown Seattle’s historic International District. We like to say that ICHS is a place where you can practice international medicine without leaving the center of Seattle.

The ICHS residency site is in the heart of downtown Seattle’s historic Chinatown-International District (CID) and Little Saigon. In 1973, a small group of community members, physicians, and medical students created a free health clinic in a borrowed space in Beacon Hill for low-income Chinese and Filipino elders living in Seattle’s C-ID. Its mission: to provide culturally and linguistically appropriate health services to improve the health of Asian Pacific Islanders and the broader community. Today, ICHS is a Federally Qualified Health Center (FQHC), recognized as a premier health care organization, and the largest provider of healthcare to Asian Pacific Islanders in Washington state. Our mission has not changed, and our reach has grown from a storefront clinic in the CID to 11 clinics and sites throughout the Seattle metropolitan area, serving nearly 28,000 patients in 70 languages.

At ICHS, you will see a diverse panel of patients: 85% are persons of color, 85% are low income, 60% have limited English and need interpretation services, 66% are on Medicare and/or Medicaid, 85% are low income, and 3% are homeless. Your patients will be your greatest teachers.

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The high-volume obstetrics at ICHS provides you the opportunity to care for continuity OB patients and their newborns, and your care for these families will often expand to include other family members, spanning multiple generations. As part of your OB training, you will be trained using our in-house ultrasound. You will also see a great deal of medical complexity in our adult and geriatric patients. Twenty percent of our patients are over the age of 65. Patients at ICHS Legacy House, an assisted living facility located next door to the clinic, have primary care providers at our clinic.

You will have several opportunities to learn and practice outpatient procedures including joint injections, skin biopsy and excisions, LARCs placement and removal, circumcision, I&D, toenail removals, using ultrasound to screen for abdominal aortic aneurysms, among many others. You will do all your inpatient training through Swedish and Seattle Children’s Hospital and be exposed to many outpatient specialties during your time here. Additionally, we have some in-house specialists at ICHS including infectious disease, podiatry, neurology, and pulmonology.

At ICHS, you and your patients will be part of a multidisciplinary team that may include interpretation, pharmacy, dentistry, nutrition, psychology, social work, vision, health education, community advocacy, acupuncture, and traditional Chinese medicine. In addition, you will collaborate with other learners in our organization, including ARNP residents, pharmacy students, dental residents, psychology and social work interns and medical students. At ICHS, collaboration and teamwork are essential elements of providing quality care for our patients.

ICHS’s NRMP Match number is 1755120C8.

Seven generations of ICHS residents and alumni celebrating the class of 2023’s graduation


Patients at a Glance

The following data refers to all ICHS facilities, not just our residency’s site in the International District.

Racial and Ethnic Identity, 2021

American Indian/Alaska Native 0%
Asian 74%
Black/African American 8%
Hawaiian Native/Other Pacific Islander 1%
Hispanic 4%
Multiracial 2%
White 14%

Languages, 2020

More than 70 languages spoken. 55% of patients are best served in a language other than English. Other than English, the ten most frequently spoken, in decreasing order, are: Cantonese, Vietnamese, Mandarin, Spanish, Korean, Toisanese, Khmer, Tagalog, Amharic, and Tigrinya.

More Statistics

  • Age - 19% under 18 y/o, 20% over 65 y/o (2021)

  • Homelessness - 3% (2020)


Virtual Tour

Watch our virtual tour below to take a walk through ICHS’ clinic in the International District and learn about its history and community.